GOP civil war, or triumph of the will to a Trump authoritarian cult of personality?

Steve Benen noted the other day The unusual nature of the Republican Party’s ‘civil war’:

[T]he Republican Party is apparently experiencing one of those weird civil wars in which everyone agrees with one another.

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It’s probably safe to say the three most vocal Trump critics among Senate Republicans are John McCain, Jeff Flake, and Bob Corker, each of whom have gone to surprising lengths recently to express their contempt for the president. But if we consider their voting record, McCain has voted with Trump 84% of the time this year. Corker has voted with the president’s position 86% of the time. With Flake, the number rises to 90%.

Tallies like these hint at a possible contradiction: if the Republican trio were really offended by Trump, they wouldn’t keep voting the way he wants them to.

And while there may be something to this, it’s worth appreciating what makes the GOP’s civil war so bizarre: the factions are divided by style, tone, and demeanor, but when it comes to public policy, they’re all roughly on the same page.

Greg Sargent of the Washington Post follows up today, The Trump authoritarian cult:

The Glorious Republican Civil War of 2017 isn’t really a battle over policy or ideology. It isn’t even quite the clash of grand agendas we constantly read about — the supposed showdown between populist economic nationalism on one side, and limited government conservatism, free trade and internationalism on the other.

Instead, the GOP civil war is really a battle over whether Republican lawmakers should — or should not — genuflect before President Trump. The battle is over whether they should — or should not — applaud his racism, his authoritarianism and his obvious pleasure in dispensing abuse and sowing racial division. It’s also over whether Republicans should submit to Trump’s ongoing insistence that his lack of major accomplishments is fully the fault of Republicans who failed his greatness.

The Post reports that allies of Senate Majority Leader Mitch McConnell (R-Ky.) have hit on a new strategy for countering Stephen K. Bannon’s insurgency. Bannon’s challengers are running on the idea that they constitute the true bearers of the Trumpist banner against a GOP establishment that has allegedly betrayed Trumpism. The strategy is to walk a careful line, avoiding attacking Trump while linking Bannon’s version of Trumpism “to white nationalism to discredit him and the candidates he will support.”

The notion that the GOP civil war is really about whether to genuflect to Trump’s racism and authoritarianism helps resolve some glaring disconnects in our politics that make little sense under any other interpretation.

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Fate of Arizona’s Medicaid expansion now in the hands of the AZ Supreme Court

The Arizona Supreme Court on Thursday heard oral arguments on Republican lawmakers’ challenge of a hospital assessment that funds the state’s Medicaid expansion. Fate of GOP’s challenge to Medicaid expansion now in hands of the Arizona Supreme Court:

An attorney for three dozen current and former lawmakers argued that the hospital assessment is a tax that requires a two-thirds legislative majority to enact. The assessment was narrowly approved by the Legislature in 2013.

The lawsuit was rejected by a Maricopa County Superior Court judge in 2015, and the Arizona Court of Appeals upheld that decision in March.

The appellate court in its opinion (.pdf) said the law imposed an assessment that is exempt from the requirement that any act by lawmakers increasing state revenues, such a tax hike, must get a two-thirds vote in the Legislature [the “Two-Thirds for Taxes” amendment, Prop. 108 (1992)].

The “Kochtopus” Death Star, the Goldwater Institute attorney representing the lawmakers, pressed ahead with an argument before the seven-member Arizona Supreme Court that the assessment is a tax that required the vote of a two-thirds majority of the Legislature under Proposition 108, which was passed by voters in 1992.

“It is clear under Proposition 108, a supermajority is needed for the Legislature to authorize what they did here,” said Christina Sandefur, a Goldwater Institute attorney who represented the lawmakers. “That is what the voters wanted. They wanted the supermajority to apply any time the Legislature acts to raise revenue.”

Timothy Berg, an attorney representing Arizona and the state’s Medicaid program, said the voter-approved initiative included an exception that allows fees and assessments imposed by state agencies.

Berg argued that voters passed Proposition 108 with the intent of limiting the Legislature’s ability to raise taxes with a simple majority, not restrict fee increases that are a routine part of state government.

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Rep. Martha McSally considering run for Flake’s Senate seat

Rep. Martha McSally is frequently mentioned as the heir apparent to Senator John McCain. But her ambitions are too great to wait for McCain to step down or to die from his brain cancer, either of which are real possibilities before next November’s election (Arizona very well could have two senate races in 2018, one of them a special election for the remainder of McCain’s term).

U.S. News & World Report reports Razing Arizona: McSally Eyeing GOP Senate Battle:

Congresswoman Martha McSally

Rep. Martha McSally is taking steps toward launching a challenge to Kelli Ward for Sen. Jeff Flake’s seat next year, a move that would set up another scorched-earth primary battle between establishment Republicans and former White House chief strategist Steve Bannon [the white nationalist attack dog for far-right extremists Robert and Rebekah Mercer].

The second-term congresswoman indicated her interest in the seat during a closed-door meeting Thursday with Arizona’s five-member GOP House delegation, and also met Thursday with Sen. John McCain to consult about a statewide contest, an Arizona Republican with knowledge of the situation says. Even before that, she began polling her prospects.

“She wants to lay down a marker immediately,” the Arizona source says. “She hates the House.”

Not long after Flake’s retirement announcement Tuesday, White House officials began reaching out to Arizona’s GOP lawmakers to field interest in the seat, two separate sources tell U.S. News – a clear indication of their aversion to Ward.

Reps. Trent Franks and Paul Gosar, two conservative House members, have publicly ruled out bids. And Rep. David Schweikert, a four-term congressman and member of the House Freedom Caucus, quickly declined the overture.

The office he’s most interested in running for is governor in 2022,” Schweikert spokesman Kevin Knight says.

The two GOP sources say the winnowing field makes McSally, a retired U.S. Air Force colonel first elected in 2014, the front-runner to become the consensus candidate of lawmakers and donors. While McSally has not yet made a decision, one congressional aide says based on the congresswoman’s initial conversations with colleagues this week, she’s expected to run.

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This Year’s Real Halloween Horror

[Cross-Posted from Inequality.org]

The family that has made billions off trick-or-treat candy has gone generations without paying any appreciable tax on its enormous fortune. And the Trump tax plan, if adopted, would ax a huge chunk of the tax on the family’s income!

The Mars family has made billions selling us M&Ms, Snickers, and countless other Halloween treats for a century now.  But when it comes to paying tax, the Mars family seems to be all tricks and no treats.

In fact, the family’s latest tax trick may have cost the U.S. Treasury a whopping $10 billion. What could $10 billion do? That’s the cost of delivering prenatal care to hundreds of thousands of expectant moms under Medicaid, an essential program that President Trump and the GOP Congress plan to cut by up to $1 trillion.

According to the current U.S. tax code, any American worth $25 billion can expect 40 percent of that, or $10 billion, to go to Uncle Sam in estate tax, the federal levy on the personal fortunes of deep pockets who kick the bucket. Forrest Mars Jr. had a $25-billion fortune when he died in July 2016. But the Mars family has apparently been able to avoid estate tax on that entire $25 billion.

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Healthcare Forum: We Want to Hear Your Stories

 

Banner University Medical Center
High-tech medical care at Banner University Medical Center

For the past 30 years, my career has focused on health promotion, disease prevention, behavioral research, and communications. I have seen, photographed, and written about the good, the bad and the ugly parts of our country’s healthcare “system”.

I saw the rise of HMOs (health maintenance organizations) in the 1980s. I cheered the Clintons for at least trying to fix the overly complicated mess in the early 1990s. I saw costs going up every year and service going down. I saw a health insurance system that was creaking under the weight of its own complexity, while big insurance and big pharma collected huge profits. As managing editor of the American Journal of Medicine, I stood proudly by the Editor-in-Chief when he and the Editorial Board called for Medicare for All on multiple occasions.

Along the way, I have heard stories about huge medical bills, uncompensated hospital care, outrageously expensive drugs, limited or delayed access to medical care, premature death and disease, medical bankruptcy, and the medical consequences of poverty.

Now, as a member of the Arizona House and the ranking Democrat on the Health Committee, I want to hear your stories.

Do you have concerns about the future of the Affordable Care Act, Medicare, Medicaid and Kids Care? Is the cost of medical care or prescription drugs a worry for your family? How would dramatic cuts to these programs impact you? Come to the 200 Stories: Tucson Healthcare Forum on Oct 29.

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